Revenue Cycle Collections Specialist

USA Clinics Group is seeking an experienced and highly detailed Revenue Cycle Collections Specialist to join our Revenue Cycle team! The Revenue Cycle Collections Specialist is the primary source for managing patient’s delinquent accounts including sending patients to collections. This position will hold the responsibility of arranging repayment agreements with the patient and assisting in other parts of the billing office as needed.

Only candidates able to commute to the jobs on-site location (Northbrook, IL) Monday through Friday 5 days a week will be considered. Remote work is not an option.

Pay: $23-$30/hr

Responsibilities

Contacts insurance carriers regarding claim status, denials, underpayments, and recoupments

Be able to read and understand insurance eligibility and benefits

Research & resolve outstanding claim issues and patterns

Submit Appeals for Denied Claims

Submit Medical Records and other documentation requests to insurance

Ability to work on 40 denied claims per day on the phone and provider portals

Performs additional duties as assigned

Requirements

Required

2 or more year's previous experience in medical collections

Ability to read and understand insurance remittance including denial and remark codes

Ability to understand the remittance denial codes and get claims reprocessed

Preferred

Experience with Aetna, BCBS, UHC, Medicare, and Medicaid denials

Experience with multi state insurance denial collecting

Experience using Excel

Experience with denials for Varicose veins, and/or Dialysis

Familiar with provider portal eligibility and claim tools. Example: Availity, Navinet

Strong personality and willingness to rebuttal with insurance claims representatives to overturn denials

Exceptional customer service and phone etiquette

Benefits

Health insurance with dental and vision

PTO with sick time

401k & match

Advancement opportunities